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A case of young woman with recurrent right pleural effusion.

Mehta AA, Gupta A, Venkitakrishnan R - Lung India (2015 Nov-Dec)

Bottom Line: Endomterisois is usually found in women of child-bearing age.A case is presented of massive right-sided pleural effusion caused by endometriosis.Physicians should be aware of this potentially treatable cause of pleural effusion having excluded other possibilities such as malignancy and tuberculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

ABSTRACT
Endomterisois is usually found in women of child-bearing age. A case is presented of massive right-sided pleural effusion caused by endometriosis. The final diagnosis was made by thoracoscopic pleural biopsy. Physicians should be aware of this potentially treatable cause of pleural effusion having excluded other possibilities such as malignancy and tuberculosis.

No MeSH data available.


Related in: MedlinePlus

Vascular and cheese-like areas interspersed with hemorrhagic spots on parietal pleural surface
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Figure 4: Vascular and cheese-like areas interspersed with hemorrhagic spots on parietal pleural surface

Mentions: Multiple soft cyst-like nodules on diaphragmatic and visceral pleural surface along with islands of vascular and cheese-like areas interspersed with hemorrhagic spots on parietal pleural surface [Figures 2-4]. Pleural biopsy showed fibrocolllagenous tissue lined by hyperplastic mesothelium and cleft like spaces along with dilated congested vessels, siderophages, hemorrhage and giant cells. Nodules of ovoid cells around vessels in a myxoid matrix (probable endometrial stromal cells) were seen beneath the pleural lines. Immunohistochemical studies for CD10 showed positivity in cytoplasm and ER and PR showed nuclear positivity in the cells within the nodules which was suggestive of stromal endometriosis.


A case of young woman with recurrent right pleural effusion.

Mehta AA, Gupta A, Venkitakrishnan R - Lung India (2015 Nov-Dec)

Vascular and cheese-like areas interspersed with hemorrhagic spots on parietal pleural surface
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663879&req=5

Figure 4: Vascular and cheese-like areas interspersed with hemorrhagic spots on parietal pleural surface
Mentions: Multiple soft cyst-like nodules on diaphragmatic and visceral pleural surface along with islands of vascular and cheese-like areas interspersed with hemorrhagic spots on parietal pleural surface [Figures 2-4]. Pleural biopsy showed fibrocolllagenous tissue lined by hyperplastic mesothelium and cleft like spaces along with dilated congested vessels, siderophages, hemorrhage and giant cells. Nodules of ovoid cells around vessels in a myxoid matrix (probable endometrial stromal cells) were seen beneath the pleural lines. Immunohistochemical studies for CD10 showed positivity in cytoplasm and ER and PR showed nuclear positivity in the cells within the nodules which was suggestive of stromal endometriosis.

Bottom Line: Endomterisois is usually found in women of child-bearing age.A case is presented of massive right-sided pleural effusion caused by endometriosis.Physicians should be aware of this potentially treatable cause of pleural effusion having excluded other possibilities such as malignancy and tuberculosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Pulmonary Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

ABSTRACT
Endomterisois is usually found in women of child-bearing age. A case is presented of massive right-sided pleural effusion caused by endometriosis. The final diagnosis was made by thoracoscopic pleural biopsy. Physicians should be aware of this potentially treatable cause of pleural effusion having excluded other possibilities such as malignancy and tuberculosis.

No MeSH data available.


Related in: MedlinePlus